Dental Questions: What can I do to make a toothache feel better?

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Dental Questions: What can I do to make a toothache feel better?

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Generally, toothaches are caused by inflammation of the nerve inside the tooth. The best way to temporarily relieve the pain is by taking a nonsteroidal anti-inflammatory over-the-counter medication such as naproxen sodium (Aleve) or ibuprofen (Motrin).  If the tooth is sensitive to temperature and biting pressure, then it likely needs a root canal to completely resolve the pain.  If there is swelling around the tooth or in the face, then the nerve inflammation has progressed to an infection and antibiotics and a root canal are required to fix the situation. 

You may be tempted to use over-the-counter toothache remedies such as topical anesthetic (Orajel). However, these medications are best used to treat sore gum tissue caused by ulcers or canker sores and will do little to remedy actual tooth pain. Remember, a toothache is caused by an inflammatory process that is occurring within the tooth (and not in the surrounding gums). Additionally, do not try crushing aspirin or other medications and placing them against the tooth area. These medications are only meant to be taken orally, and can cause serious chemical burns on the gum tissue and mucosa. 

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Dental Questions: Are sinus infections and pain on upper teeth related conditions?

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Dental Questions: Are sinus infections and pain on upper teeth related conditions?

In this X-Ray, the floor of the maxillary sinus (yellow line) and the roots of the molars (blue lines) are highlighted. Note how close they are in proximity to each other. 

In this X-Ray, the floor of the maxillary sinus (yellow line) and the roots of the molars (blue lines) are highlighted. Note how close they are in proximity to each other. 

            The roots of the upper molars are frequently embedded in the floor of the maxillary sinus. As such, the nerves supplying the upper teeth can "pick up" pain signals from an inflamed or infected sinus. Since the size of the maxillary sinus grows with age, this phenomenon can become more prominent in later years. However, it is still important to consult a dentist about severe tooth pain or changes in the size or shape of your teeth and gums. This can be a potential sign of an infection that needs to be treated immediately. 

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Dental Questions: What Does It Mean If My Face Is Swollen?

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Dental Questions: What Does It Mean If My Face Is Swollen?

Dental abscesses start small but can have very serious effects.

Dental abscesses start small but can have very serious effects.

A swollen face in relation to tooth discomfort means that the tooth has an abscess that has not found a way to drain on it’s own.  An abscess forms when the body has detected a bacterial infection and “walled off” the affected area, but cannot naturally eliminate it. The associated swelling signifies a serious infection that has caused inflammation of the facial tissues. This is a health emergency and requires antibiotics and drainage of the abscess. 

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Dental Questions: Can decay on an x-ray look smaller than it actually is in the mouth?

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Dental Questions: Can decay on an x-ray look smaller than it actually is in the mouth?

Dental x-rays are a case of "more than meets the eye."

Dental x-rays are a case of "more than meets the eye."

 

Not only can the decay be bigger, it almost certainly will. Cavities on a tooth are always slightly larger in size than they would appear on an x-ray. For a standard dental radiograph, enamel has to loose about 40% of its mineral content before you can visualize the decay. In other words, the x-ray shows us a dark spot over the most demineralized areas, but the entire effected space will extend beyond this epicenter.  

Furthermore, it is important to remember that an x-ray is only a 2D image. When looking at a radiograph, we can only make accurate judgements in one axis (from the part of the tooth closest to the throat to the part closest to the front of the mouth). We can gather some information on the dimensions from the cheek side to the tongue side, but it is less reliable. Thus, it can become difficult to judge the extent of decay as an entire 3D "space."

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Happy Easter from Thousand Oaks Family Dentistry!

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Happy Easter from Thousand Oaks Family Dentistry!

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We hope you had a great Easter Sunday surrounded by your family and loved ones. For those still in school, enjoy your spring break. Just one more semester/quarter until summer! This year, Dr. Kari Hong and her family traveled to Maui, Hawaii for a much deserved vacation. Here, they are photoed in front of the Lahaina United Methodist Church where they attended Easter Service. Locally, the Hongs are very involved with the United Methodist Church of Thousand Oaks. Consider this a big "Aloha" from our office to you!

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Dental Questions:  Can a dentist diagnose decay in the mouth that is not evident on an x-ray?

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Dental Questions: Can a dentist diagnose decay in the mouth that is not evident on an x-ray?

Yes, it is absolutely possible to diagnose decay in the mouth from a visual exam with a mirror and explorer.  Decay on the biting surfaces of the teeth can often be hiding in a pit, groove or fissure of the outer enamel layer. On a visual exam, the area can look like a dark spot in the white of the enamel or an explorer can get stuck in the cavitation. The x-ray won’t show the decay in this area if is still primarily in the enamel layer. However, once decay spreads past this first layer of defense and lands in the internal dentin layer of the tooth, it will definitely show up on an xray.

Take a look at the following pictures, taken from the same patient in the same appointment:

In reviewing the radiographs, there is no apparent decay in this patient’s molars. There aren’t any suspicious shadows or defects in the enamel and the teeth generally look healthy. 

However, a visual examination reveals the beginnings of a cavity forming in the two maxillary molars. The geography of the tooth allows the decay to be hidden as the three dimensional object is translated into a 2D X-ray. Conversely, not all pit and fissure stains are cavities. Dentists can recognise unique shapes, patterns and texture changes in teeth that differentiate staining from active decay. This further highlights the importance of the entire dental exam to make a proper diagnosis. 

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Dental Tourism

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Dental Tourism

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With the economy in recession, many people are (rightfully) trying to save every penny they can. From entertainment to groceries, families across the nation are looking for a “good deal.” Some have discovered the increasingly popular medical tourism industry- where individuals travel internationally for discounted surgeries, treatments and medications. While the prices may seem great, our office would like to take a moment to show you that some of these deals may be “too good to be true.”

For starters, we are addressing dental tourism as the act of traveling to a specific office in a specific country for cheaper treatment. We are not discounting the standard of dental care in any country; you can find a great dentist in every part of the world. However, when patients travel specifically to seek out cheaper treatment, they often find themselves in unsafe situations.

In the United States, healthcare is not “cheap.” Fortunately, dental treatment has remained on the lower end of the cost spectrum, where some patients may still find it viable to receive great regular treatment even without insurance. While there are a number of issues that play into this high cost, one of the most important factors is regulation.

For a dental office to open its doors in America, it has to satisfy hundreds of qualifications, standards and licensing requirements. Our dentists have to hold a valid license, which can only be renewed if they have received the proper number of yearly credits for continuing education. The instruments and materials we use have to be approved safe by the FDA. Even our sterilization systems are subject to testing and supervision from the state dental board. However, the most important part of all this regulation is that it is strictly enforced. Between HIPPA, OSHA, the California Dental Board, the local dental society and the Food and Drug Administration, there are a number of “safety nets” that keep our patients out of harm’s way. Likewise, this excellent system of care comes with a fair share of taxes, specialized equipment and additional work to meet requirements; all of which can increase the cost of care.

Beyond extensive regulation, dental offices are simply expensive to run. In an office like ours, seeing patients daily would be impossible without a complete staff of front office coordinators, hygienists and assistants. In fact, nearly 25%-35% of an office’s typical overhead goes to pay the clinical staff (excluding the dentist). When you include lab fees, utility bills, insurances and disposable products, this number grows very rapidly. As you may imagine, these costs go hand-in-hand with regulatory measures, as to assure the office runs in complete compliance.

When you travel internationally for dental tourism, think about why the office you are visiting can offer cheaper care. Are they using proper sterilization techniques? Are their instruments licensed as safe for dental use? Is their equipment subject to strict scrutiny from government inspections? At some point, there must be a “missing piece” that allows them to offer cheaper care. Maybe it is simply the result of an overall lower cost of living in that country. However, it is often difficult to discern what you are (or aren’t) getting with this type of international treatment.

Perhaps you have found a great clinic with low fees that comes highly recommended from a friend or coworker. You checked their website, where the “American standard of care” is guaranteed by the head dentist. You may travel to this clinic, receive great treatment, and make it home while saving some money. Unfortunately, dentistry (like all of biology and medicine) can be unpredictable at times. Even the most skilled practitioner using the best techniques and equipment will occasionally have imperfect treatment outcomes. With a local office, these problems can be easily remedied by the treating dentist or through close communication with a specialist or associate. However, having international treatment amended can be expensive or impossible, depending on your situation. Often times, American dentists cannot provide follow up treatment to international care, as they are not familiar with (or cannot identify) the materials or techniques used. This may require a return visit to the treating international dentist, negating any potential savings.

At Thousand Oaks Family Dentistry, we are extremely proud of the transparency and standard of care we offer our patients. We understand that some of our patients may be tempted by lower prices in international offices, but we urge you to have a consultation with us first. You may find that our fees are competitive, with the added peace-of-mind from highly regulated local dental treatment. If you have any questions regarding our fees or practices, please give us a call!

 

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Anterior Veneer Case

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Anterior Veneer Case

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Take a look at one of our recent smile transformations! This patient came to our office with concerns about the esthetics of their anterior incisors. Wear to the incisal edges (biting surfaces) had created a "flat and sharp" appearance that takes away from the naturally contoured look teeth typically have. By using zirconia veneers, our office restored dimension and shape to the incisal edges and facial profiles of the lateral and central incisors. This allowed us to give the teeth a more youthful look and create a universally lighter shade. If you would like to know more about this process or other esthetic services we offer, please contact our office!

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Tooth Fairy Fun

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Tooth Fairy Fun

One of the most exciting times in a young child’s life is their first visit from the Tooth Fairy. As your little ones start to lose their baby teeth, chances are they will be expecting a special visit from the fairy herself. Likewise, you are probably looking for a way to make this event fun and memorable for your family. With all this in mind, our office has collected some of our favorite lost tooth toys and holders. Take a look at all the fun you can have!

Baby Tooth Album

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While we have covered this tooth organizer in a previous article, it fits in perfectly with this list. The Baby Tooth Album is a fun way to organize all of your child’s lost teeth and turn them into a great keepsake. It's even flat enough to fit inside a scrapbook or memory box! 

Twinkle Toof

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The Twinkle Toof is a fun baby tooth holder that glows in the dark. It has a secret compartment for the lost tooth and a small clip for any "Prizes." It glows quite brightly, which must make it easy for the Tooth Fairy to find at night! 

Maison Chic Tooth Fairy Pillows

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From owls to robots and even sharks, these fun embroidered characters come in all sorts of shapes and sizes. You are sure to find one that your child loves! Each pillow has a little pouch to keep teeth safe until the Tooth Fairy can get to them. We are sure you will enjoy the fun fabrics, textures and colors!

We know the tooth fairy can have a hard time getting teeth out from under pillows without waking resting children. These fun toys help simplify the process and add a little pizzaz to the occasion. If you would like to see more of these tooth holders or any of our other children’s products, please stop by our office. We love getting our patients and their families excited about dental health topics!

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Erik and Duke at the Office

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Erik and Duke at the Office

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This week, Dr. Kari's husband Erik stopped by the office for a cleaning and brought baby Duke along. Dad did great, but as you can see the appointment wore Duke out! We hope you all find some time to spend with your loved ones this weekend. Cherish these moments!

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